Cognitive-Behavioral Therapy for Depression in Adolescents With Inflammatory Bowel Disease: A Pilot Study

Szigethy, Eva; Whitton, Sarah W.; Levy-Warren, Anna; DeMaso, David R.; Weisz, John R.; Beardslee, William R.

doi:10.1097/01.chi.0000142284.10574.1f

Cited by 82 publications

(92 citation statements)

References 52 publications

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“…Additionally, IBD in pediatric patients is associated with elevated rates of depression and internalizing disorders (Banez & Cunningham, 2009), fears about the future, poorer youth reported social functioning, and difficulty participating in daily activities (Greenley et al, 2010;Moody, Eaden, & Mayberry, 1999). Given the physical and psychosocial consequences experienced by youth with IBD, researchers have become increasingly interested in developing interventions aimed at improving coping skills (Hayutin, Blount, Lewis, Simons, & McCormick, 2009;McCormick, Reed-Knight, Lewis, Gold, & Blount, 2010) and reducing depression (Szigethy et al, 2007(Szigethy et al, , 2004.…”

Section: Introductionmentioning

confidence: 97%

Participation and Attrition in a Coping Skills Intervention for Adolescent Girls with Inflammatory Bowel Disease

Reed-Knight¹,

McCormick²,

Lewis

et al. 2011

J Clin Psychol Med Settings

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The current study examined factors associated with adolescent and parent participation in a coping skills intervention for adolescent girls with inflammatory bowel disease (IBD) and examined factors associated with attrition related to intermittent missing data. Thirty-one adolescent girls with IBD and their parents enrolled in the intervention. Psychosocial and disease factors related to participation in the 6-week web component of the coping skills intervention were examined as were baseline group differences between those who provided post-treatment data and those who did not. Adolescents experiencing more difficulties related to their disease and psychosocial functioning participated less in the web component of the treatment intervention. Families who attrited had higher baseline levels of parental catastrophic thoughts, parenting stress, and adolescent depression. Families experiencing greater levels of psychological and disease-related difficulties may be at risk for low participation and eventual dropout from pediatric IBD psychological treatment interventions.

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Section: Introductionmentioning

confidence: 97%

Participation and Attrition in a Coping Skills Intervention for Adolescent Girls with Inflammatory Bowel Disease

Reed-Knight¹,

McCormick²,

Lewis

et al. 2011

J Clin Psychol Med Settings

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“…A structured measure of desire for psychological care comparing patients with IBD and rheumatoid arthritis found that 2 to 3 times the number of IBD patients (31%) expressed an interest in receiving assistance compared to individuals with rheumatoid arthritis (13%) [116] . Other indicators of receptivity included positive evaluations of treatment [113] and low dropout rates despite the expectation of active participation [104,106] .…”

Section: Psychotherapeutic Approachmentioning

confidence: 99%

“…Its positive effect has been emphasized in individuals with other chronic somatic illnesses, such as chronic obstructive pulmonary disease, diabetes, and cancer [103,104] . Cognitive behavior therapy was evaluated in an open trial of adolescents with major depression [105,106] and a randomized controlled trial (RCT) of adolescents with subsyndromal depression [107] . In all studies, treatment significantly reduced depression and improved global functioning.…”

Section: Psychotherapeutic Approachmentioning

confidence: 99%

Psychiatric comorbidity in the treatment of patients with inflammatory bowel disease

Filipović¹,

Filipović²

2014

WJG

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Ulcerative colitis and Crohn's disease, commonly known as inflammatory bowel disease (IBD), draw attention from specialists of various disorders, including gastroenterology, psychiatry, and radiology. The involvement of a cortical influence in the brain-gut axis as well as the interaction of the hypothalamic-pituitary-adrenal axis and the peripheral nervous system provide an initial explanation of the psychological symptoms associated with IBD. The involvement of structures the limbic system, such as the anterior cingulate cortex, the prefrontal cortex, and the amygdala, paves the way for the discovery of the mechanisms underlying depression depression, anxiety, alexithymia, personality traits, and other psychological impairments following the onset of IBD. Psychiatric therapy in IBD patients is almost as important as the gastroenterological approach and consists of pharmacological treatment and psychotherapy. Neither of the available psychiatric treatment methods is considered the golden standard because both methods have side effects, and psychotropic medication can provoke the worsening of IBD symptoms. Thus, both approaches must be applied with awareness of the possibility of side effects. We suggest that psychiatrists and gastroenterologists work together to reach a consensus on IBD therapy to ensure success and to reduce side effects and relapse to the lowest possible rates.© 2014 Baishideng Publishing Group Co., Limited. All rights reserved.Key words: Inflammatory bowel disease; Psychiatry; Treatment; Personality traits; Depression; Anxiety Core tip: The involvement of a dysfunction of brain-gut interactions in the pathogenesis of inflammatory bowel disease (IBD) is represented by a dysfunction of the autonomic nervous system, an abnormal hypothalamicpituitary-adrenal axis and cholinergic anti-inflammatory pathway, a deleterious effect of stress and depression, an abnormal coupling of the prefrontal cortex-amygdaloid complex, and an abnormal relation between the microbiota and the brain as pro-inflammatory factors. New investigations have provided a critical link between forebrain changes and abdominal pain independent of active disease and drug treatment, providing a potential basis for an explanation of the psychological symptoms and brain influence in the pathogenesis of IBD.

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“…In one intervention study that was done in the area, adolescents with IBD and comorbid depression were treated with a cognitive behavioral therapy (CBT) program. 9 Sessions included problemsolving, cognitive restructuring, relaxation training, and pain-coping strategies. Following the intervention, 10 of the 11 adolescents no longer met criteria for major or minor depression.…”

mentioning

confidence: 99%

Coping skills for reducing pain and somatic symptoms in adolescents with IBD

McCormick

Reed-Knight

Lewis

et al. 2010

Inflammatory Bowel Diseases

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Cognitive-Behavioral Therapy for Depression in Adolescents With Inflammatory Bowel Disease: A Pilot Study

Cited by 82 publications

References 52 publications

Participation and Attrition in a Coping Skills Intervention for Adolescent Girls with Inflammatory Bowel Disease

Participation and Attrition in a Coping Skills Intervention for Adolescent Girls with Inflammatory Bowel Disease

Psychiatric comorbidity in the treatment of patients with inflammatory bowel disease

Coping skills for reducing pain and somatic symptoms in adolescents with IBD

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